Organization Active NPI

Granite Mountain Charter School

  • Local Education Agency (LEA)
  • Lucerne Valley, CA
National Provider Identifier
1073304655
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GRANITE MOUNTAIN CHARTER SCHOOL
Practice address
8560 Aliento Rd
Lucerne Valley, CA 92356-8133
Phone
(909) 906-3593
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mailelei Penn
Title
Chief of Specialized Pupil Services
Phone
(562) 413-6490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

8560 Aliento Rd
Lucerne Valley, CA 92356-8133

Mailing address

10535 Foothill Blvd Ste 120
Rancho Cucamonga, CA 91730-3823
Phone (909) 870-5275

National Provider Directory

National Provider Directory

Locations

10535 Foothill Blvd
Ste 120
Rancho Cucamonga, CA 91730

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1073304655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303823",
            "telephone_number": "909-870-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 ALIENTO RD",
            "city": "LUCERNE VALLEY",
            "state": "CA",
            "postal_code": "923568133",
            "telephone_number": "909-906-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE MOUNTAIN CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "MAILELEI",
        "authorized_official_title_or_position": "CHIEF OF SPECIALIZED PUPIL SERVICES",
        "authorized_official_telephone_number": "562-413-6490"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucerne Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.